def stgPayment_data(usage, folder, refresh=1):
# usage = there is only one usage now
# refresh = [1: refresh data from database and save to the given folder,
# 0: get the data from the given folder
# folder - if not blank: location to save the output & folder to get the local data
print("function : GetGHIData: stgPayments_data :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
database = 'StagingDB'
target = server + '_' + database + '_' + 'stgPayments.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',DRIVER='{ODBC Driver 13 for SQL Server}',\
SERVER=server,DATABASE=database)
tsql = """
Select *
from StagingDB.dbo.stgPayments
where AccountingPeriodDate >='2016-01-01'
"""
output = pd.read_sql(tsql, cnxn)
output.to_csv(folder + target, sep='|', index=False)
else:
output = pd.read_csv(folder + target, sep="|", encoding="ISO-8859-1")
return output
def getSOMN_Status(usage, folder, refresh=1):
print("function : get Order SOMN Status :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
database = 'StagingDB'
target = server + '_' + database + '_' + 'OLI_SOMN_Status.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',
DRIVER='{ODBC Driver 13 for SQL Server}',
SERVER=server)
f = open(cfg.sql_folder + 'Recent_DocuSign_Status.sql')
tsql = f.read()
f.close()
output = pd.read_sql(tsql, cnxn)
output.to_csv(folder + target, sep='|', index=False)
else:
output = pd.read_csv(folder + target, sep="|", encoding="ISO-8859-1")
return (output)
def getPTC(usage, folder, refresh=1):
print("function : GetGHIData: get PTC :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
database = 'StagingDB'
target = server + '_' + database + '_' + 'SFDC_PTC.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',
DRIVER='{ODBC Driver 13 for SQL Server}',
SERVER=server)
#f = open(cfg.sql_folder + 'StagingDB_SFDC_PTC.sql')
f = open(cfg.sql_folder + 'StagingDB_SFDC_PTC_wPayerPlanMaster.sql')
tsql = f.read()
f.close()
output = pd.read_sql(tsql, cnxn)
output.to_csv(folder + target, sep='|', index=False)
else:
output = pd.read_csv(folder + target, sep="|", encoding="ISO-8859-1")
return (output)
def getPayors(usage, folder, refresh=1):
print("function : GetGHIData: get Payors :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
database = 'StagingDB'
target = server + '_' + database + '_' + 'SFDC_Payors.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',
DRIVER='{ODBC Driver 13 for SQL Server}',
SERVER=server)
f = open(cfg.sql_folder + 'SFDC_Payor_Plan_HCO_Hierarchy.sql')
tsql = f.read()
f.close()
output = pd.read_sql(tsql, cnxn)
output.to_csv(folder + target, sep='|', index=False)
else:
output = pd.read_csv(folder + target, sep="|", encoding="ISO-8859-1")
output[
'Tier1Payor'] = output.Tier1PayorName + " (" + output.Tier1PayorID + ")"
output[
'Tier2Payor'] = output.Tier2PayorName + " (" + output.Tier2PayorID + ")"
output[
'Tier4Payor'] = output.Tier4PayorName + " (" + output.Tier4PayorID + ")"
## Read QDX Ins Plan Txt for Financial Category where GHI does not import the FC for the payor
#yet to do
# also need to pull LineOfBenefit from SFDC
from data import GetQDXData
inscodes = GetQDXData.insCodes('', folder, refresh)
output = pd.merge(output, inscodes, how='left', on='Tier4PayorID')
cond = output.FinancialCategory.isnull() & ~output.QDXInsFC.isnull()
output.loc[cond, 'FinancialCategory'] = output.loc[cond, 'QDXInsFC']
select_column = [
'Tier1Payor', 'Tier1PayorName', 'Tier1PayorID', 'Tier2Payor',
'Tier2PayorName', 'Tier2PayorID', 'Tier4PayorID', 'Tier4Payor',
'Tier4PayorName', 'FinancialCategory', 'LineOfBenefit'
]
return (output[select_column])
def revenue_data(usage, folder, refresh=1):
'''
Get GHI Revenue data from StagingDB.Analytics.mvwRevenue
Remove all no revenue impact rows, i.e. TotalRevenue & TotalAccural & TotalCash & TotalUSDRevenue & TotalUSCAccural & TotalUSDCash are 0.00 or null
when call a refresh from the database, I will save a copy into the local for local use until the next refresh
'''
print("function : GetGHIData: revenue data :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
database = 'EDWDB'
target = server + '_' + database + '_' + 'RevenueDetail.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',
DRIVER='{ODBC Driver 13 for SQL Server}',
SERVER=server)
f = open(cfg.sql_folder + 'EDWDB_fctRevenue.sql')
tsql = f.read()
f.close()
output = pd.read_sql(tsql, cnxn)
#Remove the rows that have none of the Revenue numbers
Rev_Noimpact = output[(
(output.TotalRevenue.isnull() | output.TotalRevenue == 0.0)
& (output.TotalAccrualRevenue.isnull()
| output.TotalAccrualRevenue == 0.0)
&
(output.TotalCashRevenue.isnull() | output.TotalCashRevenue == 0.0)
& (output.TotalUSDRevenue.isnull() | output.TotalUSDRevenue == 0.0)
& (output.TotalUSDAccrualRevenue.isnull()
| output.TotalUSDAccrualRevenue == 0.0)
& (output.TotalUSDCashRevenue.isnull()
| output.TotalUSDCashRevenue == 0.0)) |
(output.TicketNumber.isnull())]
output = output[~output.index.isin(Rev_Noimpact.index)]
#Rev_Noimpact.to_csv(folder + 'Rev_NoImpact.csv', sep = '|', index = False)
output.to_csv(folder + target, sep='|', index=False)
prep_file_name = 'GHI_fctRevenue.xlsx'
prep_note = pd.read_excel(cfg.prep_file_path + prep_file_name,
sheet_name="Revenue_data",
skiprows=1,
usecols='L:Q',
encoding='utf-8-sig')
prep_note = prep_note[~(prep_note.TargetColumn.isnull())].reset_index(
drop=True)
rename_columns = dict(zip(prep_note.TargetColumn, prep_note.Synonyms))
data_type = dict(zip(prep_note.TargetColumn, prep_note.Type))
if ~refresh:
output = pd.read_csv(folder + target,
sep="|",
encoding="ISO-8859-1",
error_bad_lines=False,
dtype=data_type)
output.rename(columns=rename_columns, inplace=True)
#########################################
# Prepare Revenue Data #
#########################################
''' need when extract from fctRevenue '''
temp = ['AccountingPeriodDate', 'ClaimPeriodDate', 'TestDeliveredDate']
for a in temp:
output[a] = pd.to_datetime(output[a].astype(str),
format="%Y-%m-%d",
errors='ignore')
if output['TestDeliveredDate'].dtypes == 'O':
output['TestDeliveredDate'] = pd.to_datetime(
output.TestDeliveredDate.str[:8],
format="%Y-%m-%d",
errors='ignore')
output['ClaimPeriodDate'] = pd.to_datetime(output.ClaimPeriodDate.str[:8],
format="%Y-%m-%d",
errors='ignore')
output['OLIID'].fillna('NONE', inplace=True)
output[
'Tier1Payor'] = output.Tier1PayorName + " (" + output.Tier1PayorID + ")"
output[
'Tier2Payor'] = output.Tier2PayorName + " (" + output.Tier2PayorID + ")"
output[
'Tier4Payor'] = output.Tier4PayorName + " (" + output.Tier4PayorID + ")"
## pd.nan == np.nan is false
## np.nan == np.NaN is false
## Null TicketNumber is read as 'NaN' is equals isnull. Thus fillna will replace the value
## if converted to str, null TicketNumber become 'nan' and is not equals isnull(). Thus fillna does not replace the value
#convert QDXTicketNumber to string
#QDXTicketNumber has NaN, thus it will always be a float.
#first convert the NaN into 0, convert to int, convert to str, and then convert the 0 into np.NaN
output.TicketNumber = output.TicketNumber.fillna(0.0)
output.TicketNumber = output.TicketNumber.astype(float).astype(int).astype(
'str')
output.TicketNumber = output.TicketNumber.replace('0', np.nan)
''' trace where Revenue Payor info is used possible ticket
'''
## Read QDX Ins Plan Txt for Financial Category where GHI does not import the FC for the payor
inscode = pd.read_csv(cfg.prep_file_path + 'insCodes.txt',
sep="|",
quoting=3,
encoding='utf-8-sig',
error_bad_lines=False)
inscode = inscode[~(inscode['insAltId'].isnull())][[
'insCode', 'insFC', 'insAltId'
]]
inscode.rename(columns={
'insCode': 'QDXInsCode',
'insFC': 'QDXInsFC'
},
inplace=True)
## need to check if the QDXinsPlanCode is matching the current Tier4Payor or the appealInsCode
## add the QDX insFC to order_appeal_history
output = pd.merge(output, inscode, how='left',\
left_on=['Tier4PayorID'], right_on=['insAltId'])
output = output.drop(['QDXInsCode', 'insAltId'], 1)
#################################################
# Output Revenue detail for the given usage #
#################################################
if usage == 'Claim2Rev':
select_column = prep_note[(prep_note['Claim2Rev'] == 1)]['Synonyms']
elif usage == 'ClaimTicket':
select_column = prep_note[(prep_note['ClaimTicket'] == 1)]['Synonyms']
elif usage == 'OLI_Payment_Revenue':
select_column = prep_note[(
prep_note['OLI_Payment_Revenue'] == 1)]['Synonyms']
return output[select_column]
def OLI_detail(usage, folder, refresh=1, PayorHierarchy='At_OrderCapture'):
# usage = ['appeal', 'revenue_receipt', 'utilization']
# refresh = [1: refresh data from database and save to the given folder,
# 0: get the data from the given folder
# folder - if not blank: location to save the output & folder to get the local data
print("function : GetGHIData: OLI_detail :: start :: ",
datetime.now().strftime('%Y-%m-%d %H:%M:%S'))
print('usage = ', usage, '\nrefresh = ', refresh, '\nfolder is ', folder,
"\n\n")
#server = 'EDWStage'
#database = 'StagingDB'
database = 'EDWDB'
OLI_target = server + '_' + database + '_' + 'OrderLineDetail.txt'
NCCN_target = 'EDWStage_StagingDB_' + 'Revised_NCCNFavorability.txt'
if refresh:
cnxn = pyodbc.connect('Trusted_Connection=yes',
DRIVER='{ODBC Driver 13 for SQL Server}',
SERVER=server,
DATABASE=database)
#Read OLI data
f = open(cfg.sql_folder + 'EDWDB_fctOrderLineItem.sql')
tsql = f.read()
f.close()
output = pd.read_sql(tsql, cnxn)
output.to_csv(folder + OLI_target, sep='|', index=False)
#Read revised NCCN favorability from the Order Description field
f = open(cfg.sql_folder + 'StagingDB_Revised_NCCNFavorabilty.sql')
tsql = f.read()
f.close()
Revised_NCCN = pd.read_sql(tsql, cnxn)
Revised_NCCN.to_csv(folder + NCCN_target, sep='|', index=False)
#prep_file_name = "GHI_OLI_Claim_Data_Prep.xlsx"
#prep_note = pd.read_excel(prep_file_path+prep_file_name, sheet_name = "OrderLineDetail", skiprows=1, encoding='utf-8-sig')
#########
prep_file_name = "GHI_vwFctOrderLineItem.xlsx"
prep_note = pd.read_excel(cfg.prep_file_path+prep_file_name, sheet_name = "OrderLineItem",\
skiprows=1, usecols="I:L", encoding='utf-8-sig')
prep_note = prep_note[~(prep_note.Synonyms.isnull())]
#rename_columns = dict(zip(prep_note.StageDB_OrderDetail, prep_note.Synonyms))
data_type = dict(zip(prep_note.Synonyms, prep_note.Type))
if ~refresh:
#read the data from local
#use dtype=object until know where is the type error
output = pd.read_csv(folder + OLI_target,
sep="|",
encoding="ISO-8859-1",
dtype=data_type)
Revised_NCCN = pd.read_csv(folder + NCCN_target, sep="|")
#################################################
# Prepare Order Line Item Data #
#################################################
temp = [
'BilledAmount', 'ListPrice', 'TotalPayment', 'PayorPaid',
'PatientPaid', 'TotalAdjustment', 'CurrentOutstanding',
'ContractedPrice'
]
for a in temp:
output.loc[(output[a] == 0.0), a] = np.NaN
temp = ['TestDeliveredDate', 'DateOfService']
for a in temp:
output[a] = pd.to_datetime(output[a].astype(str),
format="%Y%m%d.0",
errors='coerce')
temp = [
'OrderStartDate', 'OLIStartDate', 'OrderCancellationDate',
'OrderLineItemCancellationDate'
]
for a in temp:
output[a] = pd.to_datetime(output[a].astype(str),
format="%Y%m%d",
errors='coerce')
'''
###df.loc
### standardize zero contract price to null, to mean there is no contract price for the OLI since we do not have an agreement with the payer & insurance plan
output.loc[(output.ContractedPrice == 0.0), 'ContractedPrice'] = np.NaN
temp = ['BilledAmount','ListPrice','TotalPayment','PayorPaid','PatientPaid','TotalAdjustment','CurrentOutstanding']
output[temp] = output[temp].fillna(0.0)
for a in temp:
output[a] = pd.to_numeric(output[a])
'''
# Construct Tier1Payor, Tier2Payor and Tier4Payor that is not available from StagingDB.Analytics.stgOrderDetail
output[
'Tier1Payor'] = output.Tier1PayorName + " (" + output.Tier1PayorID + ")"
output[
'Tier2Payor'] = output.Tier2PayorName + " (" + output.Tier2PayorID + ")"
output[
'Tier4Payor'] = output.Tier4PayorName + " (" + output.Tier4PayorID + ")"
#convert QDXTicketNumber to string
#QDXTicketNumber has NaN, thus it will always be a float.
#first convert the NaN into 0, convert to int, convert to str, and then convert the 0 into np.NaN
# e.g. Test not delivered and no claim would not have Ticket Number
output.CurrentTicketNumber = output.CurrentTicketNumber.fillna(0.0)
output.CurrentTicketNumber = output.CurrentTicketNumber.astype(
float).astype(int).astype('str')
output.CurrentTicketNumber = output.CurrentTicketNumber.replace(
'0', np.nan)
output.loc[output.RiskGroup.isnull(), 'RiskGroup'] = 'Unknown'
output['HCPProvidedGleasonScore'].fillna('', inplace=True)
output['HCPProvidedGleasonScore'] = output[
'HCPProvidedGleasonScore'].astype(str)
output['HCPProvidedClinicalStage'].fillna('', inplace=True)
output['HCPProvidedClinicalStage'] = output[
'HCPProvidedClinicalStage'].astype(str)
#output['HCPProvidedPSA'].fillna('', inplace = True)
################################################################################
# Reporting Group is stamped by SFDC: lookup the formula for ReportingGroup(D) #
# Per Cris M, Micromet is not Node Positive #
# Update the label using the NodalStatus value #
################################################################################
a = output.ReportingGroup == 'Node Positive (Micromet)'
output.loc[a, 'ReportingGroup'] = output.loc[a, 'NodalStatus']
a = output.Test == 'Prostate-AR-V7'
output.loc[a, 'ReportingGroup'] = 'ARV7'
#########################################################################################
# Enrich Data #
# get the revised NCCN Risk Category for Prostate Intermediate Risk
# first fetch the information from Order Description
# patch it with the calculation
#########################################################################################
output['SFDCSubmittedNCCNRisk'] = output['SubmittedNCCNRisk']
'''
Calculate the NCCN refined Intermediate Favorable and UnFavorable Risk
'''
## Standardize the Revised SubmittedNCCNRisk
cond = Revised_NCCN['Revised SubmittedNCCNRisk'].isin([
'INTERMEDIATE FAVORABLE', 'Intermediate favorable',
'Intermediate Favorable'
])
Revised_NCCN.loc[cond,
'Revised SubmittedNCCNRisk'] = 'Favorable Intermediate'
cond = Revised_NCCN['Revised SubmittedNCCNRisk'].isin([
'INTERMEDIATE UNFAVORABLE', 'Intermediate unfavorable',
'Intermediate Unfavorable'
])
Revised_NCCN.loc[cond,
'Revised SubmittedNCCNRisk'] = 'Unfavorable Intermediate'
temp = Revised_NCCN[~Revised_NCCN['Revised SubmittedNCCNRisk'].isin(
['Favorable Intermediate', 'Unfavorable Intermediate'])
& ~Revised_NCCN['Revised SubmittedNCCNRisk'].isnull()][
'Revised SubmittedNCCNRisk']
len(temp)
output = pd.merge(
output,
Revised_NCCN[['OLIID', 'Test', 'Revised SubmittedNCCNRisk']],
how='left',
on=['OLIID', 'Test'])
# update the Submitted NCCN with the revised NCCN favorbilty captured in the order description
cond = (output.TestDeliveredDate >= '2017-06-01') & (
output.Test == 'Prostate') & (output.SFDCSubmittedNCCNRisk
== 'Intermediate Risk')
output.loc[
cond,
'SubmittedNCCNRisk'] = output.loc[cond]['Revised SubmittedNCCNRisk']
## NCCN Calculator
def NCCN_Update(Gleason, PSA, Stage, OrgNCCN):
if ((Gleason == '') and (Stage == '')):
return OrgNCCN # 'Intermediate favorability indeterminate'
if (Gleason == ''):
#or (Stage=='') or (PSA==0.0)):
return OrgNCCN # 'Intermediate favorability indeterminate'
elif (Gleason == '4+3'):
return 'Unfavorable Intermediate'
elif Gleason == '3+3':
if PSA < 10:
return 'Favorable Intermediate'
elif PSA < 20: ## PSA 10 to 19
if (Stage == ''):
return OrgNCCN # 'Intermediate favorability indeterminate'
elif Stage in ['T1c', 'T2a', 'T1C', 'T2A']:
return 'Favorable Intermediate'
else:
return 'Unfavorable Intermediate'
else:
return 'Unfavorable Intermediate'
elif Gleason == '3+4':
if PSA < 10:
if (Stage == ''):
return OrgNCCN # 'Intermediate favorability indeterminate'
elif Stage in ['T1c', 'T2a', 'T1C', 'T2A']:
return 'Favorable Intermediate'
else:
return 'Unfavorable Intermediate'
else:
return 'Unfavorable Intermediate'
###
### Do the calculation for Intermediate Risk Only
cond = (output.TestDeliveredDate>='2017-06-01') & (output.Test=='Prostate') & (output.SFDCSubmittedNCCNRisk == 'Intermediate Risk') &\
(~output['Revised SubmittedNCCNRisk'].isin(['Favorable Intermediate','Unfavorable Intermediate'])) # only calculate for those cannot obtain the information from SFDC Order Description
output.loc[cond, 'SubmittedNCCNRisk'] = output.loc[cond].apply(
lambda x: NCCN_Update(x['HCPProvidedGleasonScore'], x[
'HCPProvidedPSA'], x['HCPProvidedClinicalStage'], x[
'SFDCSubmittedNCCNRisk']),
axis=1)
cond = (output.TestDeliveredDate >= '2017-06-01') & (
output.Test == 'Prostate') & (output.SFDCSubmittedNCCNRisk
== 'Intermediate Risk')
output.loc[cond, 'ReportingGroup'] = output.loc[cond].apply(
lambda x: 'NCCN - ' + x['SubmittedNCCNRisk'], axis=1)
#################################################
# Output OLI detail for the given usage #
#################################################
if usage == 'Claim2Rev':
select_column = prep_note[(prep_note['Claim2Rev'] == 1)]['Synonyms']
elif usage == 'ClaimTicket':
select_column = prep_note[(prep_note['ClaimTicket'] == 1)]['Synonyms']
return output[select_column]
